Individual provider Active NPI

Jill Jines, RN FNP-C

  • Nurse Practitioner
  • Kearney, MO
National Provider Identifier
1740255397
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
143822 Issued in MO
Practice address
305 S Platte Clay Way
Suite a
Kearney, MO 64060-8214
Phone
(816) 628-4409
Fax
(816) 628-5783
NPI assigned
Feb 17, 2006
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 143822 MO Primary

Addresses

Primary practice location

305 S Platte Clay Way
Suite a
Kearney, MO 64060-8214

Mailing address

PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 628-4409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000728 MO Practitioner - Nurse Practitioner 0345280624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

305 S Platte Clay Way
The Kearney Clinic
Kearney, MO 64060-8214
Phone (816) 628-4409

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Aug 1, 2012 Accepting new patients
New Liberty Hospital Corporation CurrentSince Aug 1, 2012 Accepting new patients
New Liberty Hospital Corporation Past Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients
Kearney Family Medicine Past Accepting new patients

Locations

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

305 S Platte Clay Way
Ste A
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

2609 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 407-4555

Interoperability endpoints

  • Direct secure messaging: jill.jines.p3@direct.nlhc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1740255397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219672",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219672",
            "telephone_number": "816-628-4409",
            "fax_number": "816-628-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S PLATTE CLAY WAY",
            "address_2": "SUITE A",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608214",
            "telephone_number": "816-628-4409",
            "fax_number": "816-628-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINES",
        "first_name": "JILL",
        "credential": "RN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "143822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, MO

Sources for this page

Verify at the official NPI Registry.